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NPI 1629931373

NPI 1629931373 : ROBERT W. BAER, PSYD LLC : DICKINSON, ND

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General NPI Number Information
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    NPI Number           |    1629931373
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT W. BAER, PSYD LLC 
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Dates
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    Enumeration Date     |    12/08/2025
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    448 21ST ST W STE A 
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    City                 |    DICKINSON
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    State                |    ND
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    Zip                  |    58601-2647
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    Country              |    US
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    Telephone            |    701-590-0239
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1120 14TH ST W APT 2 
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    City                 |    DICKINSON
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    State                |    ND
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    Zip                  |    58601-2838
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    Country              |    US
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    Telephone            |    701-590-0239
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ROBERT WARREN BAER 
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    Credential           |    PSYD
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    Telephone            |    701-590-0238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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